07-104219 w t '
City of Federal Way Built ig - Commercial Permit': 07-104219-00-CO "•
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WA STATE DEPARTMENT OF REVENUE
Project Address: 501 S 336TH ST Parcel Number: 926480 0240
Project Description: TI-Interior improvements for new tenant including construction of partition walls and
doors.
Owner Applicant Contractor Lender
FSP FEDERAL WAY CORP UNIPLEX,INC UNIPLEX,INC
401 EDGEWATER PL UNIT 200 UNIPLEX INC UNIPLI*211B3 11/15/08
WAKFIELD MA 01880-6207 753 18TH AVE E UNIPLEX INC
SEATTLE WA 98112 753 18TH AVE E
SEATTLE WA 98112
Census Category: 437 - Commercial alt/add/ conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 54
Floor Areas . ft. 5,352 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories 2 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional Zoning Designation OP
Services/Offices
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, August 10, 2009
Permit Issued on Friday, August 10, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 1t(,' �'� '4 z, Date: ..//e."-/tc'
C CJt°y ofFederal Way '
•
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: WA STATE DEPARTMENT OF REVENUE Permit#: 07-104219-00-CO
Address: 501 S 336TH ST
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V- B
Occupancy Load: 54
Floor Area(sq. ft.) 5,352 0 0 0
Owner Name: FSP FEDERAL WAY CORP
Owner Address: 401 EDGEWATER PL UNIT 200
WAKFIELD MA 01880-6207
Any ^ 7
„, - L ear'riiiri
auilding Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
DATE INSPECTOR *,n AREA AND TYPE OF iNSPECTION
0.9-itt .Q-At, ,�' .
,. THIS CARD IS TO WAIN ON—SITE
CITY OF ,• re�►->. ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104219-00-CO
Owner: FSP FEDERAL WAY CORP
Address: 501 S 336TH ST
FEDERAL WAY, WA 98003-6328
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Footings/Setback(4110) ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
•
El Underfloor Framing (4285) 0 Floor Sheathing(4105) ❑ Fire/Draft Stops (4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
•
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5 4
A'.. . . . . ,.., .- ,,,,,... ii , By - toi Date,,. 60 . 07, By Date
El Gypsum Wallboard Nailing (4130) 0us eS p nded Ceiling Grid (4265) QFinIl-Fire Department(4060)
Approved to install mud&tape Approved to drop tile '' Approved
By' Ci L4) Date 99..e• .0 -.49 .By G.� Date ,ZO„ a, .By7 f Date '..20_-
0 Final-Planning(4070) El Final-Building (4050) //////��,��,
Approved Approved
By Date By C_ Date/6► (,e7
For inspector reference only
0 Rough Electrical 0 FINAL -Electrical
Approved Approved
By Date By Date
REC J•D •
JULI
3 0 2007 r, al- j 0 KA l
[ITY OF '
Federal WayriTy of FEDERAL voPERMIT 2'051
COMMUnrlY DEVELOPMENT SEIM1,.Sp 1 SF' MF CO ML EL PL DE I N FP
9.4S2FEDERVENUE WAY.SOUTH.POBOX97I16tu�`D►"G DAPPLICATION "Ill
FEDERAL lYAY.FAX
53.898063.9718 0 `/ / n /1 /0 -7_
253-835.2607.FAX 2�383r2(i09 (n, (iJ•y(`\/.//
wtow.rttIjolleclerollmmerm,
The following is required information-art incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
��-- "4-t- ' SUITE/UNIT# /110
SITE ADDRESS ��+� �, �,��.--�yy��r� /, ,�`y� ��g
ASSESSOR'S TAX/PARCEL it q S_ ir7 `-- r 3 '_- 0 9 ✓ C LOT SIZE(sf)
Lot LEGAL DESCRIPTION(e.g.Acme Estates, of 1) L' /' c r-:* AK/''...4`S t'1 A.,),, cl T,•�C>o 'fl
cu.,xPn'iIr. N'I.Ienglhlt WO de,crwl.'I
■ PROJECT INFORMATION
TYPE OF PERMIT 't l BUILDING J PLUMBING ❑ MECHANICAL
0 DEMOLITION Cl ELECTRICAL J ENGINEERING r7 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit orIitl) 6
X4/
- fIYl{"t'')4' /hl/OM()-Mini t‘7119- . Li/ St PDP- '
/rile - . U -
,A Sia- --
� fe
PROJECT NAME[Name of Business or Owner Last Name) O' -Pt p e..0en,_,
$ PEOPLE INFORMATION
..___ PRIMARY PHONE
PROPERTY NAME
OWNER F G t,„.1111-.kL _r i_ ( .7 J/ ) 3—S-7_._. 1_
MAILING ADDRESS ✓ CITY,STATE,ZIP E-MAIL ADDRESS
(iiSifr:OM ft64, #€to oe,kgJ c1rI /' 7A-01880
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
(.fin ...... O/V) V aSs-ey (3e)(6.,) 3)3 -`1,3)0
MA�IILING A DRES.S.J CITY,STATE,.,. ZIP �y. /jg tom'} CELL
�I PHONE
/ /
f; ?) I0iII e� 't tet i.t)A 4/r.._fr'..._ ()0( ) )90 "(,/7
CITY OF FEDERAh WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
,2C.' -e e - JL' Y om, - t'IC.') -- )3L-1111_
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of enrp squired t_.-)� Pt,� 4 `1 IS
w7t6 egy�1 aPPllcation I � 1� /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PI IONE
MAILING AIDREE- n
DRESS /'` CID STATE,ZIP t:ELI,PHONE
7 {? .... e.-,•.r1-1 J�rez,i (f! u....44 ',:i3/7.3., ( t)C.a ) ^i'` -</ 2,i
RELATIONSHIP TO PROJECT FAX NUMBER
U Architect LI Tenant o Agent. a Other ( -.J') -i V&.C1.3
NAME
PROJECT PRIMARY PRONG ri h1AlI ADDRESS
Tom"
CONTACT 7 U 5S (Dor...) )2o -(.,it.�'`7 .._.._....... I'itueSs,.. .y/6iiez�/r4, et'i
--- --_..
LENDERNA""", Per RCW 19.27.095:
,) .. Lender information is required if project value exceeds$5,000
_
;MAILING ADDRESS ! CII .STATE,ZIP PHONE
( )
III DETAILED BUILDING INFORMATION
EXISTING USE yo, , ' , PROPOSED USE S40,4444?4?.0 t'jif'2- =-
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ i )L),aX)_ ._..
SPRINKLERED BUILDING? 0 YES X`NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES (NO
WATER SERVICE PROVIDER y LAKEHAVEN 0 HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER yLAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
• S
$ PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
1al16-?
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXI ING PROPOSEDTOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
9- 01 li a `j-}-
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIV C OLERS AS PIPE OUT - WOODSTOVES
BBQS F•,S ER HEATERS MISC(Describe)
BOILERS - 'r E I S HOODS(commcrraai
COMPRESSORS F 4C'•• ES RANGES
DUCTS / i IA l AS LS . S REFRIG.SYSTEMS
_
PLUMBING
BATHTUBS(ol•nm/SI,o,./,I,o) LAVS(Balluoor,Saks) URINALS MISC(Describe)
DISHWASHE• RAINWATER SYST VACUUM BREAKERS
DRIN. ' FOUNTAINS SHOWERS WATER CLOSETS ii ilo
ECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. �y�J,. —�
NAME/TITLE a ✓?,v/�]
DATE —07
(signature) rime)
RELATIONSHIP TO PROJECT D Owner ❑Agent 0 Contractor o Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NOBASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES a NO •
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100–April 2,2007 Page 2 of 4 k\Handouts\Perrnit Application